{% extends 'GustavoHogarUsuariosBundle::layout.html.twig' %}
{% block contenido %}
    <div class="well col-lg-4"> 
        <form name="form" id="form" class="bs-example form-horizontal">
            <fieldset>
                <legend>Agregar Nuevo Usuario</legend>
                <div class="form-group">
                <label class="col-lg-2 control-label" >Nombre: </label>
                     <div class="col-lg-10"><input type="text" name="name"      class="form-control" value="Ricardo"/></div>
                     </div>
                <div class="form-group">
                <label class="col-lg-2 control-label">Apellido:</label>
                    <div class="col-lg-10"><input type="text" name="lastName"   class="form-control" value="Marino" /></div>
                </div>
                <div class="form-group">   
                <label class="col-lg-2 control-label">Dirección:</label>
                    <div class="col-lg-10"><input type="text" name="address"    class="form-control"  value="Las Urbinas #53 , Providencia , Santiago - Chile" /></div>
                    </div>
                <div class="form-group">    
                <label class="col-lg-2 control-label">Fecha Inscripción:</label>
                    <div class="col-lg-10"><input type="text" name="registerDate" class="form-control"  value="16/02/2014 15:37" /></div>
                    </div>
                 <div class="form-group">   
                <label class="col-lg-2 control-label">Habilitado:</label>
                    <div class="col-lg-10"><input type="text" name="enable"     class="form-control"  value="true" /></div>
                    </div>
            </fieldset>
        </form>
        <input type="button" onclick="registrarUsuario();" class="btn btn-primary" value="Registrar" />
    </div>
{% endblock %}
